Asian Journal of Case Reports in Surgery

Amyand’s Hernia: A Rare Occurrence. Report of Two Cases and Literature Review

M. S. Baharudin *

Department of Surgery, Putrajaya Hospital, Malaysia and Department of Surgery, University Malaya Medical Centre, Malaysia.

Shu Lih Lau

Department of Surgery, Putrajaya Hospital, Malaysia.

C. Vimal

Department of Surgery, Putrajaya Hospital, Malaysia.

S. G. Narayana

Department of Surgery, Putrajaya Hospital, Malaysia.

A. R. Syazwani

Department of Surgery, Putrajaya Hospital, Malaysia.

M. Vishnu

Department of Surgery, Putrajaya Hospital, Malaysia.

*Author to whom correspondence should be addressed.

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Abstract

A variety of hernias have been encountered for the past centuries. One rare type of hernia is Amyand’s hernia which was originally described by Claudius Amyand (1685-1740) in 1736, a surgeon in St. George’s Hospital, London, England, United Kingdom. It is a condition where the vermiform appendix is trapped within the hernial sac; mostly an incidental finding intraoperatively. We present two cases of right Amyand’s hernia, where both patients presented with right reducible inguinal hernia without signs of incarceration or strangulation. They incidentally diagnosed with Amyand’s hernia intraoperatively. Both patients were treated with hernia reduction and mesh repair without appendectomy. Preoperative diagnosis of Amyand’s hernia remains challenging. Management of this type of hernia should be tailored to each patient individually according to their clinical presentation.

Keywords: Hernia, abdominal hernia, amyand’s hernia, hernia management.

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